Liu Min-Jun, Zhou Xu-Yan, Yao Yi-Bing, Shen Xu, Wang Rong, Shen Qi-Hong
Department of Anesthesiology and Department of Nursing Education, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, 3 Qingchun Road East, Jianggan District, Hangzhou, 310016, Zhejiang, People's Republic of China.
Department of Anesthesiology, Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang, China.
Pain Ther. 2021 Jun;10(1):333-347. doi: 10.1007/s40122-021-00256-x. Epub 2021 Apr 7.
Lumbar spine surgery is one of the most widespread types of surgery for treating back and leg pain. However, the postoperative period always presents with severe pain due to the removal of skin, subcutaneous tissues, bones, and ligaments. Patients usually require high doses of opioids to relieve pain during the initial three days after operation, as well as experience drug-related complications and prolonged length of stay in hospital. We found that Erector spinae plane block significantly reduced postoperative opioid consumption and pain scores. The present systematic review revealed that ESPB was effective and safe for postoperative analgesia.
腰椎手术是治疗腰腿痛最常见的手术类型之一。然而，由于皮肤、皮下组织、骨骼和韧带的切除，术后往往会出现剧痛。患者通常在术后最初三天需要高剂量的阿片类药物来缓解疼痛，同时还会经历与药物相关的并发症以及住院时间延长。我们发现竖脊肌平面阻滞可显著减少术后阿片类药物的用量和疼痛评分。本系统评价显示，竖脊肌平面阻滞用于术后镇痛是有效且安全的。
